Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
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154 <strong>Maternal</strong> <strong>Int<strong>en</strong>sive</strong> <strong>Care</strong> in Belgium <strong>KCE</strong> Reports 94<br />
Multiple pregnancies<br />
• Strictly normal diamniotic, dichorionic twin<br />
pregnancy<br />
• Diamniotic twin pregnancy with concordant<br />
growth and normal dopplers<br />
Hypert<strong>en</strong>sion<br />
(Indep<strong>en</strong>d<strong>en</strong>t from gestational age)<br />
• Moderate hypert<strong>en</strong>sion<br />
Gestational diabetes<br />
Thromboembolism<br />
• Superficial v<strong>en</strong>al thrombosis<br />
Haemorrhage<br />
Miscellaneous<br />
• Sphincter rupture < level IV<br />
• Cerclage<br />
• History of uncomplicated caesarean sections<br />
• History of uncomplicated artificial delivery<br />
• BMI under 35 (at first contact) or underweight<br />
(BMI more than 18) tttt<br />
Multiple pregnancies<br />
Hypert<strong>en</strong>sion<br />
(Indep<strong>en</strong>d<strong>en</strong>t from gestational age)<br />
• Moderate pre-eclampsia ssss<br />
Gestational diabetes<br />
• Without insuline therapy (diet) (cf.<br />
<strong>en</strong>docrinologic disorders)<br />
Haemorrhage<br />
Miscellaneous<br />
• Hyperemesis gravidarum<br />
• Vaginal delivery after caesarean section<br />
• Baby admission on NICU<br />
• < 16 and > 40 years uuuu<br />
• History of perinatal loss (incl. 2 nd and 3 rd trimester)<br />
• Baby for adoption<br />
Multiple pregnancies<br />
• Mono- and dichorionic twin pregnancy with discordant growth<br />
and/or abnormal doppler values<br />
• Multiple pregnancy (3 baby’s and more)<br />
Hypert<strong>en</strong>sion<br />
(Indep<strong>en</strong>d<strong>en</strong>t from gestational age)<br />
• Severe and/or complicated hypert<strong>en</strong>sion<br />
• Severe and/or complicated (pre)-eclampsia<br />
• HELLP<br />
Gestational diabetes<br />
• With insuline therapy (cf. <strong>en</strong>docrinologic disorders)<br />
Thromboembolism<br />
• DVT<br />
• Lung embolism<br />
• Arterial thrombosis<br />
Haemorrhage<br />
• Complicated antepartum haemorrhage (> 500ml) (ACOG,<br />
2006)<br />
• Complicated delivery/expulsion/postpartum (> 1000ml)<br />
Miscellaneous<br />
• Sphincter rupture level IV<br />
• Previous or curr<strong>en</strong>t uterus rupture<br />
• Curr<strong>en</strong>t or previous complicated caesarean section<br />
• Curr<strong>en</strong>t or previous complicated artificial delivery<br />
• History of recurr<strong>en</strong>t perinatal loss (incl. 2 nd and 3 rd trimester)<br />
• Plac<strong>en</strong>ta praevia, plac<strong>en</strong>ta accreta and percreta<br />
ssss ACOG (2002). Clinical managem<strong>en</strong>t guidelines for obstetrician-gynaecologists, nr 33, Diagnosis and managem<strong>en</strong>t of preeclampia and eclampsia. Retrieved on Mai 28, 2007 from:<br />
www.agog.com.<br />
tttt National collaborating c<strong>en</strong>tre for wom<strong>en</strong>’s and childr<strong>en</strong>’s health. Ant<strong>en</strong>atal care routine care for the healthy pregnant woman, Clinical guideline 23. Retrieved June 18, 2007 from cebam,<br />
rcog: http://www.rcog.org.uk/resources/Public/pdf/Ant<strong>en</strong>atal_<strong>Care</strong>.pdf.<br />
uuuu National collaborating c<strong>en</strong>tre for wom<strong>en</strong>’s and childr<strong>en</strong>’s health. Ant<strong>en</strong>atal care routine care for the healthy pregnant woman, Clinical guideline 23. Retrieved June 18, 2007 from cebam,<br />
rcog: http://www.rcog.org.uk/resources/Public/pdf/Ant<strong>en</strong>atal_<strong>Care</strong>.pdf.